Start with context

An anticoagulation plan around a procedure depends on both procedural bleeding risk and the patient’s thrombotic risk. The drug, last dose, kidney function and type of anaesthesia also matter. A single timing rule cannot represent every situation.

A plan has more than one stage

Pre-procedure assessment and post-procedure resumption are connected decisions. Clinical teams need a shared understanding of the intended plan and who will reassess it. Bridging is a separate consideration; it should not be assumed to be necessary for every anticoagulant.

Make the reasoning visible

A useful review records the factors considered and points back to the applicable guideline. Elective pathways should not be automatically applied to urgent procedures or neuraxial techniques, which require their own guidance.

The key idea

The objective is a coordinated, patient-specific plan, with the treating team deciding each clinical action.

Sources & further reading

External references are provided for education. Their inclusion does not imply endorsement of Anticoag360+.

Educational overview for healthcare professionals. Use the current source guidance, local protocols and professional judgement for individual decisions. These articles are not patient-specific treatment instructions.

Prepared for Anticoag360+’s educational website. No independent clinical peer review is claimed.